Organization Active NPI

Myhealth Village, PLLC

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1487472866
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MYHEALTH VILLAGE, PLLC
Practice address
930 Wingate St Ste C2
Conway, AR 72034-4837
Phone
(501) 358-6522
Fax
(501) 426-8212
NPI assigned
Oct 2, 2024
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly SimsNPI 1952901340
Title
NP
Phone
(870) 659-0006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

930 Wingate St Ste C2
Conway, AR 72034-4837

Mailing address

PO Box 10240
Conway, AR 72034-0003
Phone (501) 358-6522

National Provider Directory

National Provider Directory

Locations

930 Wingate St
Ste C2
Conway, AR 72034
Phone (501) 358-6522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1487472866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10240",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340003",
            "telephone_number": "501-358-6522",
            "fax_number": "501-426-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WINGATE ST STE C2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344837",
            "telephone_number": "501-358-6522",
            "fax_number": "501-426-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYHEALTH VILLAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "870-659-0006"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.